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What exactly is the difference. I can infer from the name, but why have two seperate specialties?
How do Med Onc (Heme Onc) and Rad Onc differ?
Erm, that?s more difficult to explain because you have to talk about care on difference levels: technical issues, suoppotive issues etc.. There are enormous differences but the particular features of those differences really vary depending upon what kind of disease you?re treating. In broad strokes; rad onc is more like surgery in the approach to what you do to treat the patient. You take the info regarding the anatomy, pathology, histology, stage, and prior treatment (i.e. surgery) of the disease as well as the other general host-related issues (i.e. co-morbidities), and make your plan taking these all into account in three-dimensional space. You might vary your plan if much normal tissue is in the field for instance. Med onc delivers chemo, a systemic drug, and is less reliant on ?technique?. Medical oncologists prescribe their drug and modify based on the response of the patient and their well-being in general throughout the care. In terms of training, medoncs do 3-4 years of internal medicine before their 2-3 years of fellowship. Rad onc involves one internship year followed by 4 years of radonc specialty training (i.e. mostly oncology related training). Radonc also involves small procedures.
Now, as far as radoncs knowing more about cancer, I don't know if that's true or not, so I won't comment on that. But, in my opinion, the medoncs know way more about medicine in general than the radoncs.
So when RadOncs are compared to surgeons, how long does "blasting" the patient with Rad take. one hour, faster, longer?
As for the residents, they are probably reading and studying and oncology and physics literature and textbooks after their "regular" work schedule.
Slightly off topic, but not too far...
Is the only way to become a medical oncologist to go through a residency in internal medicine and then a fellowship in a specific oncological modality?
Does the radiation oncologist go through a residency in internal med also?
(over on the radonc forum, they claim that radoncs are more knowledgable about cancer than medoncs).
That's a joke. Radiation oncologists only deal with a small number of cancers, whereas in hematology-oncology anyone who has trained has at least some exposure to all the major types of cancers, including those in which radiation has zero role.
That's a joke. Radiation oncologists only deal with a small number of cancers, whereas in hematology-oncology anyone who has trained has at least some exposure to all the major types of cancers, including those in which radiation has zero role.
It is estimated that more than 50% of cancer patients will receive radiation at some point during their treatment.
Is heme/onc competitive? I know GI and cards are, but haven't heard of this about heme/onc.The medical oncologist (3 years internal med residency plus oncology fellowship, typically hemonc) is the person I think of as the primary care doc for the cancer pt, as least as far as the cancer is concerned. It is one of the most competative internal med specialties.
Rad onc is very competative and is matched into out of med school (starting with PGY-2) because of the limited number of slots. Most would put it up there with dermatology.
So when RadOncs are compared to surgeons, how long does "blasting" the patient with Rad take. one hour, faster, longer?
Once radiation treatment is complete, the patient will probably not go back to the radiation oncologist.
Because I love both math and medicine I decided to rank 20 common specialties using median salaries (averaged from 7 sources of median salaries) and a subjective rating system of lifestyle. Sorry, don't have any fellowship specialties so no Med Onc.
Ranking of common specialties by salary and lifestyle. Specialties at the top have high salary to lifestyle ratio. Lifestyle determined by fewer and more controllable hours, less call, and less nights and weekends
1. Radiation Oncology
2. Dermatology (best lifestyle)
3. Radiology
4. Pathology
5. Physiatry
6. Psychiatry
7. Plastic Surgery (most competitive)
8. Neurosurgery (highest salary)
9. Neurology
10. Ophthalmology
11. Emergency Med
12. Anesthesiology
13. ENT
14. Orthopedic Surgery
15. OB/Gyn
16. Urology
17. Pediatrics
18. Family Medicine (lowest salary)
19. General Surgery (worst lifestyle)
20. Internal Medicine (least competitive)
Radiation oncology is a great field to go into if you are competitive enough and have an interest in oncology, physics and technology.
BTW - I am going into physiatry, I don't like cancer.
Urology should be MUCH higher on this list.
The one I shadowed follows up with all her patients. Once a year for older cancers, and once every 6 months or so for newer cancers. Since they also go see the medonc, they go in for followup about every 6 months. In fact, the day I was there, her entire afternoon was followups, and morning was consultants. I'm sure it's not like that every day (since she said she spends a lot of time in the physics department), but it seemed like a typical thing.
What is physiatry?
Do you match for an oncology fellowship in medical school?
Do people match for any internal medicine subspeciality fellowships while in school?
How important are grades and step 1 score for fellowships?
Are some some fellowships more competitive than others?
How do people become surgical oncologists? Do they do a general surgery residency and an oncology fellowship?
It's PM & R, I think.
I think it is odd that you have Urology down on the list, especially below Obstetrics and ER medicine. The lifestyle of a urologist is great - there are really no true urologic emergencies besides torsed testes and fournier's gangrene. The compensation for urology is excellent. It is the #1 most satisified specialty according to the USnews survey.
Back to the original question of onc vs. radonc, I'm surprised that no one has brought up the subject of reimbursement cuts to onc. Maybe no one here is aware of it. CMS cut reimbursements by 30% starting last year for onc. An internist I was working with told me that he knows several private practice onc's who are leaving the field altogether and dumping their patients onto hospitals.
I keep hammering home the point: don't forget about the economics when you make your career decisions.
I think it is odd that you have Urology down on the list, especially below Obstetrics and ER medicine. The lifestyle of a urologist is great - there are really no true urologic emergencies besides torsed testes and fournier's gangrene. The compensation for urology is excellent. It is the #1 most satisified specialty according to the USnews survey.
Also, I think the compensation for plastic surgery compares favorably to neurologic surgery.
When referring to competitive - most people are talking about board scores and then research and so on. The problem with IM is that if you go to a better ranked program then you have better chances of matching into more competitive fellowships at better institutions. So, while IM in general might not be competitive, it can be quite competitive when you're trying to find the better programs.Not in neurology myself, but have been told by neuro residents that it is a less competitive match than IM. I would have guessed that they were comparable in difficulty.
Also, FM and OB more competitive than IM? Hard to believe... Then again, there are tons of IM spots out there...
How hard is urology to get.
So do RadOncs have any kind of meaningful contact with their patients at all? Because it seems that as far as the patient is concerned a computer could be delivering the treatment and they wouldn't know the difference.
Hello everyone,
I have a quick question for anyone in the oncology specialty.
First, I am currently finishing up my masters degree in acupuncture and oriental medicine and planned on going on to complete my doctoral degree (DAOM) a clinical doctoral degree for acupuncturists. This will be another two years of study. I was thinking of going to Bastyr in Seattle, due to the program specialty in supportive oncology, supportive cancer care training for (acupuncturists). It seems pretty intense and you get to do clinical training at some top cancer hospitals.
My reasons are personal for wanting to work with cancer patients and I know I would really enjoy doing this.
My question is, what type of reception would I get from oncologists as a acupuncturists that specializes in helping treat the side effects of cancer treatment? Do you think any oncologists would be willing/interested in either renting space out to me in their practice or possibly hiring me to work for them?
I have maintained a 3.92 to 4.0 GPA throughout college and throughout acupuncture and oriental medicine school. The AOM master program is 4 years and the Doctoral is an additional 2 years. My total college after would be 10 years if include undergrad.
If anyone could help me with my questions and give me some ideas and what you think about this, I would be truly grateful.
Sorry if my post is in the wrong area.
Acupuncture is for quacks! Jk.. I have never had it done.
On a side note, you don't have to do the Hem part of the fellowship to be a med onc. Med Onc and Hemotology, by themselves, is a 2 year fellowship and when they are combined = a 3 year fellowship. How do I know this? One of the Oncologists that I work with on a daily basis did the 2 year Med-Onc fellowship instead of the 3-year, combined program.
I'm not sure about that; there are lots of indications for palliative radiation for end stage diseases.so rad onc are less likely to deal with people at eol compared to med onc?
so rad onc are less likely to deal with people at eol compared to med onc?
I think both are same. But the only difference is between the oncology radiology specialization which some doctors go for after going for radiology...